定量聚合酶链反应检测致龋性变形链球菌

目的 创建一种临床定量检测致龋性变形链球菌的分子生物学方法。方法 采用靶基因与参照基因同步扩增法，根据变形链球菌葡聚糖酶（dexA)基因序列，设计一对特异性引物，以pET23b质粒DNA为参照基因。对196名儿童的唾液样品进行定量PCR检测并进行常规培养法的对比研究。结果 196份唾液样品定量PCR检测致龋性变形链球菌≥10^8CFU/L，唾液的检出率为91.3%。与常规培养计量法的对比符合率为94.9%。结论 变形链球菌PCR定量检测是一种早期发现龋病活性的新方法，具有快速可靠、特异性强、符合率高等特点，有广泛的临床应用前景。

Detection of cariogenic Streptococcus mutans by quantitative polymerase chain reaction

OBJECTIVE: To establish a kind of molecular biology clinical detective method to cariogenic S. mutans. METHODS: Using the coamplification of target and reference genes. One pair of specific primers were designed according to a portion of the dextranase (dexA) gene of S. mutans. The reference gene was plasmid pET23b DNA. The saliva samples of 196 children were quantitative detected. The PCR method was compared with the routine culture method. RESULTS: The rate of S. mutans counts >/= 10(8) CFU/L (colony-forming unit per millilitre) saliva by quantitative PCR was 91.3%. The results of coincidence rate between the new method and the routine way was 94.9%. CONCLUSIONS: The new quantitative detective method is fast and provides with high scoincidence rate and high specificity, so have extensive clinical practice foreground.